Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEDSTAR MEDICAL GROUP II LLC

NPI: 1184046187 · BALTIMORE, MD 21239 · General Practice Physician · NPI assigned 01/09/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SCHNEIDER, STEPHANIE controls 20+ related entities in our dataset. Read more

$91.62M
Total Medicaid Paid
1,772,295
Total Claims
1,307,784
Beneficiaries
343
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHNEIDER, STEPHANIE (VP)
NPI Enumeration Date01/09/2014

Related Entities

Other providers sharing the same authorized official: SCHNEIDER, STEPHANIE

ProviderCityStateTotal Paid
WHC PHYSICIAN GROUP LLC WASHINGTON DC $93.89M
MEDSTAR URGENT CARE LLC BALTIMORE MD $49.08M
MGMC, LLC WASHINGTON DC $18.08M
MEDSTAR FRANKLIN SQUARE PHYSICIANS LLC BALTIMORE MD $15.78M
MEDSTAR MEDICAL GROUP II BALTIMORE MD $6.39M
MEDSTAR HEART INSTITUTE LLC WASHINGTON DC $4.73M
MEDSTAR HARBOR HOSPITAL PHYSICIANS LLC BALTIMORE MD $3.85M
WASHINGTON HOSPITAL CENTER CORP WASHINGTON DC $3.66M
MEDSTAR UNION MEMORIAL PHYSICIANS LLC BALTIMORE MD $3.43M
MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC BALTIMORE MD $3.37M
WHC PHYSICIAN GROUP LLC WASHINGTON DC $2.71M
BAY LIFE SERVICES CORPORATION BALTIMORE MD $2.22M
MEDSTAR GOOD SAMARITAN PHYSICIANS LLC BALTIMORE MD $1.46M
MEDSTAR TOTAL ELDER CARE LLC WASHINGTON DC $1.19M
MEDSTAR GEORGETOWN MEDICAL CENTER, INC WASHINGTON DC $925K
WASHINGTON HOSPITAL CENTER CORP WASHINGTON DC $527K
MEDSTAR MEDICAL GROUP II LLC OLNEY MD $130K
MEDSTAR URGENT CARE, LLC WALDORF MD $52K
MEDSTAR MEDICAL GROUP II LLC BRANDYWINE MD $48K
MEDSTAR URGENT CARE, LLC HYATTSVILLE MD $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53,324 $3.37M
2019 66,051 $2.53M
2020 159,166 $6.32M
2021 298,167 $12.62M
2022 405,096 $19.93M
2023 445,035 $25.46M
2024 345,456 $21.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 317,048 287,565 $27.97M
99233 Prolong inpt eval add15 m 325,080 95,845 $16.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 172,314 153,862 $10.84M
99223 Prolong inpt eval add15 m 55,442 43,958 $4.58M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 29,001 11,149 $2.45M
99215 Prolong outpt/office vis 26,622 23,942 $2.24M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18,782 17,648 $1.76M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 28,725 24,604 $1.46M
88305 Level IV - Surgical pathology, gross and microscopic examination 29,707 27,199 $1.43M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 19,439 18,299 $1.43M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19,785 18,498 $1.33M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,883 11,464 $1.25M
99232 Subsequent hospital care, per day, moderate complexity 37,757 14,818 $1.03M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,894 8,698 $947K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,818 8,737 $928K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 189,844 141,046 $814K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 8,854 8,286 $747K
88307 10,441 9,949 $708K
99222 Initial hospital care, per day, moderate complexity 12,639 11,059 $694K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,650 5,546 $654K
99239 Hospital discharge day management, more than 30 minutes 21,837 18,916 $636K
76818 9,681 4,605 $437K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,808 3,656 $434K
93000 25,072 23,385 $434K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,005 11,046 $430K
59025 Fetal non-stress test 16,052 10,681 $404K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 14,810 10,763 $393K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,592 5,229 $371K
99220 7,183 5,858 $361K
90686 16,590 16,202 $334K
99205 Prolong outpt/office vis 3,979 3,701 $316K
76819 Fetal biophysical profile; without non-stress testing 6,601 4,895 $304K
20610 5,431 4,673 $297K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,562 4,718 $288K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,627 2,407 $248K
11043 4,954 2,985 $236K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,723 4,342 $184K
99238 Hospital discharge day management, 30 minutes or less 5,106 4,784 $184K
99460 1,928 1,849 $168K
90792 Psychiatric diagnostic evaluation with medical services 5,403 4,770 $158K
99245 736 708 $158K
99226 6,725 3,161 $132K
76801 2,518 2,315 $128K
90670 4,443 4,155 $126K
76813 1,913 1,788 $113K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 886 857 $105K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,452 1,291 $105K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,899 1,829 $101K
76820 4,107 2,288 $100K
97803 2,093 1,869 $95K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 3,841 3,746 $93K
99292 2,012 1,304 $93K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,338 3,373 $91K
95810 Polysomnography; sleep staging with 4 or more additional parameters 229 212 $89K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,782 1,658 $89K
99244 Office or other outpatient consultation, moderate to high complexity 551 508 $86K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,053 955 $85K
99497 3,268 2,342 $77K
99283 Emergency department visit for the evaluation and management, moderate severity 1,020 955 $73K
70450 Computed tomography, head or brain; without contrast material 2,798 2,572 $70K
97802 747 735 $64K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,082 1,026 $63K
77427 694 322 $62K
99406 1,839 831 $60K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,168 5,686 $60K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,901 1,441 $58K
93015 1,702 1,489 $58K
76821 2,106 1,179 $56K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 587 535 $53K
99217 3,405 2,739 $53K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,726 1,587 $52K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,484 3,302 $50K
90677 1,911 1,847 $49K
99417 Prolong home eval add 15m 839 805 $48K
20611 652 482 $48K
99221 2,248 1,868 $46K
92551 4,918 4,797 $45K
90656 2,067 2,053 $45K
77014 1,675 226 $45K
99462 1,191 997 $45K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 722 678 $43K
99443 2,016 1,848 $42K
73630 2,671 2,388 $42K
90651 1,861 1,812 $42K
88342 2,030 1,853 $40K
99442 2,411 2,267 $39K
90674 1,691 1,632 $39K
81025 7,172 6,623 $38K
96127 7,519 7,324 $38K
90697 1,545 1,406 $37K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,393 1,341 $34K
90633 1,577 1,509 $33K
97804 986 930 $33K
73610 1,797 1,553 $32K
99284 Emergency department visit for the evaluation and management, high severity 276 253 $32K
88312 928 859 $31K
90680 1,529 1,426 $31K
0001A 1,173 1,127 $31K
71275 Computed tomographic angiography, chest, with contrast material 560 544 $31K
59430 288 282 $31K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 1,058 835 $30K
0002A 1,053 1,014 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,973 5,718 $28K
73560 1,245 1,162 $28K
43775 30 30 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,852 2,505 $28K
90734 1,235 1,209 $27K
11046 624 384 $26K
90723 1,217 1,155 $26K
99498 520 402 $26K
71045 Radiologic examination, chest; single view 6,101 4,953 $24K
0011A 698 668 $24K
99385 175 169 $23K
90647 1,029 988 $23K
90853 Group psychotherapy (other than of a multiple-family group) 1,885 633 $22K
93976 625 575 $22K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,137 1,062 $21K
71046 Radiologic examination, chest; 2 views 3,427 3,272 $21K
73030 1,693 1,478 $21K
99464 339 321 $21K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 1,503 1,381 $21K
0012A 532 515 $20K
93298 1,647 1,501 $20K
19318 13 13 $19K
99243 153 153 $18K
H1000 Prenatal care, at-risk assessment 482 463 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,219 1,061 $17K
90791 Psychiatric diagnostic evaluation 185 181 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,788 1,553 $17K
88311 2,449 1,983 $17K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,140 958 $16K
90620 630 619 $16K
99225 1,570 660 $15K
99255 78 74 $14K
99253 135 93 $14K
99496 161 156 $14K
88341 860 766 $14K
73564 993 926 $13K
99173 5,351 5,219 $13K
90836 702 590 $13K
99235 86 82 $13K
77067 Screening mammography, bilateral, including computer-aided detection 153 150 $13K
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 1,222 734 $12K
90834 Psychotherapy, 45 minutes with patient 184 125 $12K
95819 689 599 $12K
46600 289 272 $12K
93296 1,375 1,277 $12K
90710 541 519 $11K
99254 66 64 $11K
88304 1,644 1,488 $11K
95800 130 127 $11K
73562 722 624 $10K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,405 3,119 $10K
90832 Psychotherapy, 30 minutes with patient 218 163 $10K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 146 139 $10K
84165 1,850 1,709 $10K
90715 374 342 $10K
99441 981 931 $9K
93295 850 795 $9K
77334 118 94 $8K
90653 553 538 $8K
93975 210 199 $8K
88112 664 573 $8K
81003 16,559 13,708 $8K
99356 322 203 $8K
13160 43 37 $7K
99218 578 511 $7K
99242 98 89 $7K
90648 314 307 $7K
72125 Computed tomography, cervical spine; without contrast material 246 241 $7K
73502 448 413 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material 191 184 $7K
86334 944 865 $6K
99236 Prolong inpt eval add15 m 167 163 $6K
99310 Prolong nursin fac eval 15m 159 97 $6K
H1003 Prenatal care, at-risk enhanced service; education 686 530 $6K
77263 69 65 $6K
51705 292 267 $6K
92134 146 135 $5K
0031A 213 190 $5K
90619 107 106 $5K
0071A 153 133 $5K
99479 Subsequent intensive care, per day, very low birth weight infant 66 15 $5K
70498 131 126 $5K
99480 Subsequent intensive care, per day, low birth weight infant 57 13 $5K
70551 Magnetic resonance imaging, brain; without contrast material 127 125 $5K
94729 491 457 $5K
43235 227 210 $4K
0072A 117 108 $4K
99386 25 24 $4K
99418 Prolong nursin fac eval 15m 116 84 $4K
93245 146 136 $4K
77300 60 51 $4K
95913 28 25 $4K
93018 598 543 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 70 61 $4K
99219 158 121 $4K
73110 200 173 $4K
88173 57 55 $4K
96160 1,339 1,304 $3K
93016 621 561 $3K
77066 Tomosynthesis, mammo 27 27 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 156 148 $3K
90716 146 136 $3K
31500 109 90 $3K
31231 27 26 $3K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 504 488 $3K
96161 1,286 1,129 $3K
87807 366 340 $3K
99241 88 79 $3K
95720 64 37 $3K
54150 40 40 $3K
W7000 652 636 $3K
36556 143 121 $3K
99306 Prolong nursin fac eval 15m 31 24 $3K
70496 90 88 $3K
73130 383 334 $3K
90688 169 164 $3K
95885 106 87 $3K
72110 113 109 $3K
90707 128 118 $3K
43264 13 12 $3K
99383 26 25 $3K
J2785 Injection, regadenoson, 0.1 mg 986 871 $3K
93280 73 63 $3K
77063 Screening digital breast tomosynthesis, bilateral 141 138 $3K
90480 49 48 $2K
88189 42 38 $2K
88313 147 124 $2K
85060 137 131 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 18 12 $2K
94727 151 136 $2K
95251 52 51 $2K
92552 90 87 $2K
70486 65 63 $2K
99024 237 216 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 147 145 $2K
91321 43 42 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 46 46 $2K
95816 103 100 $2K
84166 176 170 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 45 25 $2K
69210 164 131 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 178 161 $2K
74018 406 347 $2K
76830 Ultrasound, transvaginal 78 74 $2K
0064A 60 41 $2K
51798 685 636 $2K
93294 210 202 $2K
95718 13 12 $2K
96116 29 21 $1K
36415 Collection of venous blood by venipuncture 800 748 $1K
90732 35 35 $1K
64450 30 25 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 66 62 $1K
95782 13 13 $1K
51701 26 26 $1K
88172 39 39 $1K
91322 40 40 $1K
73140 48 40 $1K
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 42 38 $1K
99308 Subsequent nursing facility care, per day, straightforward 90 85 $1K
81002 700 628 $1K
72100 82 75 $1K
76770 92 90 $1K
71250 101 99 $963.52
82962 970 890 $962.76
96121 25 20 $961.92
97597 135 86 $938.36
90700 42 42 $907.92
74328 28 26 $870.43
99177 193 181 $869.82
11045 77 53 $858.38
11044 51 38 $817.78
76642 35 34 $794.02
92504 147 125 $726.41
93971 63 58 $673.69
93308 200 160 $672.25
93970 33 32 $668.88
G0009 Administration of pneumococcal vaccine 671 644 $657.29
93228 34 33 $647.85
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 289 253 $641.70
15275 16 12 $633.04
70491 13 12 $629.89
95873 72 63 $623.25
99201 13 12 $604.76
77065 Tomosynthesis, mammo 14 13 $589.35
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 13 $587.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 66 64 $577.15
99152 55 51 $558.33
29581 36 27 $542.74
J7050 Infusion, normal saline solution, 250 cc 693 413 $520.38
90696 28 27 $512.16
72141 25 24 $481.61
73590 105 87 $456.41
76536 29 29 $451.45
G9551 Final reports for imaging studies without an incidentally found lesion noted 553 421 $435.54
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 126 126 $414.63
76827 18 12 $390.70
94010 76 71 $315.97
92020 15 15 $302.36
94060 42 42 $285.78
G0008 Administration of influenza virus vaccine 2,347 2,255 $284.06
74019 37 33 $259.85
90472 Immunization administration, each additional vaccine (list separately) 1,435 1,147 $226.61
87210 62 54 $205.00
J0280 Injection, aminophyllin, up to 250 mg 13 13 $187.66
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 14 13 $179.05
99407 12 12 $170.48
86335 13 13 $166.54
20550 19 12 $165.31
0298T 31 30 $144.92
81001 133 113 $117.10
77080 42 42 $115.23
74174 15 15 $106.84
73020 20 16 $94.66
99174 15 13 $79.67
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $76.78
73080 13 12 $74.40
G0444 Annual depression screening, 5 to 15 minutes 26 25 $60.82
73090 13 12 $58.19
90460 Immunization administration through 18 years of age via any route, first or only component 3,130 1,339 $45.54
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 17 12 $44.36
99401 46 42 $42.41
99446 36 35 $39.90
88300 25 25 $38.37
99172 13 12 $36.00
36416 597 404 $12.00
72170 15 14 $1.87
90461 1,513 454 $0.00
51702 72 66 $0.00
93299 12 12 $0.00
99490 Ccm add 20min 13 12 $0.00
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 15 12 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 28 28 $0.00
99457 109 106 $0.00
99447 26 13 $0.00
99458 68 66 $0.00
90694 999 948 $0.00
99454 25 25 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 27 27 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 14 14 $0.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 12 12 $0.00